RACHEL MOLINA BUNNAO DDS - Dentist License in Illinois | # 018001024

RACHEL MOLINA BUNNAO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001024

License Status

NOT RENEWED

Business

N

First Name

RACHEL

Middle

MOLINA

Last Name

BUNNAO

Suffix

DDS

Business Name

RACHEL MOLINA BUNNAO DDS

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005